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Cleft Lip/Palate Case Study

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Cleft Lip/Palate Case Study
Cleft Lip/Palate
1. Define Cleft/Palate. Cleft Lip/Palate is a birth defect that occurs when the baby’s lip or mouth does not close or form properly during pregnancy. Cleft Lip/Palate together are called “orofacial clefts.” This is said to develop during early pregnancy. The infant can be born with either one or both.
A. Cleft Lip forms between the 4 and 7th week of pregnancy. This is when the tissue that makes up the lip does not completely join before birth.
B. Cleft Palate forms between the 6 and 9th week of pregnancy. This is when the tissue that forms the roof of the mouth does not close properly.
2. Causes of Cleft Lip/Palate. The cause is said to be unknown but some cases of Cleft Lip/Palate have been linked to complications with genetics and other factors such as environmental factors the mother comes in contact with, what she eats or drinks, or certain medications the mother has taken during the pregnancy. Certain risk factors can increase your chances of your baby developing Cleft Lip/Palate. …show more content…
Nursing Interventions:
• Explain surgical procedure and expected outcome. Show pictures of before and after photos of cleft lip/palate.
• Assess parent’s knowledge of the defect, degree of anxiety, and level of discomfort.
• Keep suction equipment and bulb syringe at the bedside.
• Position infant on side after feedings.
7. 3 NANDAS:
• Risk for Aspiration R/T anatomic defect
• Ineffective Family Coping R/T situational crisis of birth of a child with a defect
• Altered Nutrition: Less than Body Requirements R/T the infant’s inability to consume nutrients
8. Long Term Complications related to Cleft Lip/Palate. There are many long term complications that can come along with Cleft Lip/Palate. The infant may suffer from long term dental disorders, ear problems, speech problems, psychological issues, as well as having a facial deformity. It can be very hard growing up with a facial deformity. The child may suffer from bullying and being made fun
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